Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $56.23 / $56.23	Facility	26	$56.23	$56.23	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $323.59	Professional		$190.55	$223.87	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $501.19 / $630.96	Professional		$407.38	$501.19	$630.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $512.86	Professional		$199.53	$302.00	$512.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $134.90 / $134.90	Professional	26	$134.90	$134.90	$134.90
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $380.19 / $407.38	Professional		$288.40	$380.19	$407.38
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $95.50 / $107.15	Professional	26	$72.44	$95.50	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $380.19 / $489.78	Professional		$251.19	$380.19	$489.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $416.87 / $416.87	Professional		$354.81	$416.87	$416.87